Provider Demographics
NPI:1972787190
Name:COREY, KAREN WILLIAMS (DDS)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:WILLIAMS
Last Name:COREY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 SHAW AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-3411
Mailing Address - Country:US
Mailing Address - Phone:301-622-5339
Mailing Address - Fax:
Practice Address - Street 1:41 SHAW AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-3411
Practice Address - Country:US
Practice Address - Phone:301-622-5339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD70801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice